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NICKOLS, STEVEN E. - 2008
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NICKOLS, STEVEN E. - 2008
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Last modified
10/21/2013 11:32:29 AM
Creation date
5/22/2008 8:57:19 AM
Metadata
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Template:
Contracts
Company Name
NICKOLS, STEVEN E.
Contract #
A-2008-078
Agency
PLANNING & BUILDING
Council Approval Date
5/5/2008
Destruction Year
0
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<br />CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT <br />. <br /> <br />State of California <br /> <br />} <br /> <br />County of O't(A,^C:/_ <br />On M~ ~L{,.;2oDg before me, <br />personally appeared Dt1.v~d <br /> <br />Sa <br />N, R~ <br /> <br /> <br />P <-tb L' c- <br /> <br />ieer <br /> <br />Name(s) of Signer(s) <br /> <br />- <br /> <br /> <br />who proved to me on the basis of satisfactory evidence to <br />be the personj>>r whose name~ubscribed to the <br />within instrument and acknowledged to me that <br />~t:te/tl'ley executed the same i~herltheir authorized <br />capaci~, and that b~ signatur~ on the <br />instrument the person~ or the entity upon behalf of <br />which the person(81 acted, executed the instrument. <br /> <br />I certify under PENALTY OF PERJURY under the laws <br />of the State of California that the foregoing paragraph is <br />true and correct. <br /> <br />WITNESS my hand and official seal. <br /> <br />Signature dar-uLtCL U1r!.-{ ~ <br />C' d. S)1Jnature of Notary Public <br />OPTIONAL ::::>Clh v-_ ~;c..; <br /> <br />Though the information below is not required by law, it may prove valuable to persons relying on the document <br />and could prevent fraudulent removal and reattachment of this form to another document. <br /> <br />Place Notary Seal Above <br /> <br />Description of Attached Document <br /> <br />Title or Type of Document: <br /> <br />H-;S+VV;L <br /> <br />fi-.n~)f~1 <br />I <br /> <br />Pv .e..~VC<.-'t-;OV'\ ~VLe~ <br />Number of Pages: l '-t <br />~L ChD~S <br /> <br />Document Date: Mfu/ I t7, dooK" <br />Signer(s) Other Than Named Above: S4- U ~ r;;. <br /> <br />Capacity(ies) Claimed by Signer(s) <br /> <br />Signer's Name: <br />D Individual <br />D Corporate Officer - Title(s): <br />D Partner - D Limited D General <br />D Attorney in Fact <br />D Trustee <br />D Guardian or Conservator <br />D Other: <br /> <br />RIGHT THUMBPRINT <br />OF SIGNER <br /> <br />Top of thumb here <br /> <br />Signer's Name: <br />D Individual <br />D Corporate Officer - Title(s): <br />D Partner - D Limited D General <br />D Attorney in Fact <br />D Trustee <br />D Guardian or Conservator <br />D Other: <br /> <br />RIGHT THUMBPRINT <br />OF SIGNER <br /> <br />Top of thumb here <br /> <br />Signer Is Representing: <br /> <br />Signer Is Representing: <br /> <br />::::=.::-:-:.:--~. <br />@2007 National Notary Association. 9350 De Soto Ave., PO. Box 2402. Chatsworth, CA 91313.2402. www.NationaINotary.org Item #5907 Reorder: Call TolI.Free 1-800-876-6827 <br />
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